Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2023-03-28-1

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date03/28/2023 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing03/28/2023
Sample typeDepartment Acceptance A brief description of the sample1" X #4
The quantity of what the sample constitutes200 CY From where was the sample collectedManufacturer
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerPlant Inspector Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAssociated Ready Mix - Sun Valley Transportation Laboratory (TL) NumberC032823A
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0025
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant numberAssociate RM Sun Valley A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number53203 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-28-1-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKevin Hopkins, CT D07 - Plant Services03/28/2023Kevin Hopkins
Yes
04/06/2023LCB

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-03-28-1-1 CTM 202-November 2011 (Verified)